NPI 1063303717

Shelly Jo Wahlstrom, CHTPHD

Practitioner Religious Nonmedical Practitioner Roy, UT

Practice location

Address: 2827 W 4400 S, Roy, UT 84067-8951
Phone: (801) 643-3211

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X Licence 374K00000X (AZ)

Other Religious Nonmedical Practitioner providers in Utah →

Registry record

NPI: 1063303717
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2025
Record last updated: 11 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.